The need to cure H. pylori needs to be decided according to the patient’s condition, there is no absolute no need for treatment. Pregnant and lactating women and children without obvious symptoms can be temporarily considered without radical treatment of H. pylori infection. 1. Pregnant and lactating women: the radical treatment of H. pylori requires a combination of two antibiotics. Considering the effects on the fetus and breastfeeding on the newborn, pregnant and lactating women do not need to be treated for H. pylori, and should wait until the end of the breastfeeding period. 2. Children: H. pylori infection in children under 14 years of age may resolve spontaneously during growth and development, and most children with general infection are asymptomatic or have mild symptoms, so radical treatment is not needed. 3. Whether the elderly need H. pylori eradication treatment or not requires individualized treatment based on a comprehensive assessment of the specific patient’s condition such as underlying diseases, liver and kidney function, and combination of medications. The above three groups of people do not need to treat H. pylori, but if there are more serious digestive symptoms, such as abdominal pain, acid reflux, belching, etc., you need to consult a gastroenterologist in a timely manner, under the guidance of the doctor for proper treatment.